Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidScy Dental
    Ask Trek AI about this page

    Scy Dental — Billing Profile & Reimbursement Data

    NPI 1043989940 · Middletown, DE · Dental Clinic/Center

    Customize your policy alerts

    Sign up for Scy Dental — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Scy Dental is a dental clinic/center provider located in Middletown, Delaware. This profile covers 0 Medicare and 18 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    (source: NPPES NPI Registry)

    Table of contents

    Progress1 / 7

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools
    Provider details
    FieldValue
    Entity TypeOrganization
    OrganizationScy Dental
    Address406 South Ridge Avenue
    CityMiddletown
    StateDE
    ZIP19709
    TaxonomyDental Clinic/Center
    NPI EnumeratedSeptember 13, 2021

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$776.9K
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D2392Post 2 surface resin‑based composite880$250$218.8K
    D1120Prophylaxis–child1,870$50$98.8K
    D1351Sealant - per tooth1,920$40$80.8K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients2,040$30$65.4K
    D0120Periodic oral evaluation - established patient1,390$40$58.5K
    D9230N/A750$70$54.4K
    D0150Comprehensive oral evaluation – new or established patient750$60$46.3K
    D0220Intraoral - periapical first radiographic image1,230$20$29.5K
    D0272N/A820$40$28.8K
    D0230Intraoral - periapical each additional radiographic image1,220$20$25.6K

    Showing 1–10 of 18

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Delaware providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Delaware median

    18 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D2392Post 2 surface resin‑based composite3790490$220$366.3K
    D1351Sealant - per tooth32701,690$40$217.1K
    D2391Resin‑based composite – one surface, posterior5270320$180$192K
    D1120Prophylaxis–child40120960$50$163.3K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)4860270$140$137K
    D9230N/A1830900$70$121.1K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients461301,220$30$116.9K
    D0120Periodic oral evaluation - established patient64160800$40$110.5K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth116160330$60$82.3K
    D0272N/A2980430$40$71.6K

    Showing 1–10 of 18

    Nearby Providers

    Other providers in the same ZIP code as Scy Dental, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Center For Interventional Pain Spine LLCDEInterventional Pain Medicine Physician$0$17.6M
    Lieske E2e Home Health Care IncDEHome Health Agency$0$9.2M
    Tobola Health Care Services Inc.DEIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$4.3M
    Delaware Smile CenterDEGeneral Practice Dentistry$0$3.1M
    Premier Physical Therapy And Sports Performance Limited PartnershipDEPhysical Therapist$0$2.3M
    Thrive Real Life Independence, LLCDEDevelopmentally Disabled Services Day Training Agency$0$1.2M
    Myeyedr Optometry Of Delaware PADEOptometrist$0$961.5K
    Middletown Familycare Associates LLCDEFamily Medicine Physician$0$719K
    Mccormick & Associates Of Middletown, LLCDEPsychiatric/Mental Health Clinical Nurse Specialist$0$590.7K
    Sunwise Dermatology & Surgery LLCDEMOHS-Micrographic Surgery Physician$0$558.8K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Delaware Providers
    0 of 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Delaware Distribution
    Scy Dental — 0 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Delaware